C-F FABRICATORS HEALTH PLAN 2020
|
2020
|
371017325
|
2021-03-22
|
CLEAN FIRE LOG CO, INC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
6184952941
|
Plan
sponsor’s DBA name |
C-F FABRICATORS
|
Plan sponsor’s mailing address |
PO BOX 407, HOFFMAN, IL, 622500407
|
Plan sponsor’s
address |
124 WEST FOURTH STREET, HOFFMAN, IL, 62250
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-03-22 |
Name of individual signing |
CAROL LAXTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-03-22 |
Name of individual signing |
CAROL LAXTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLEAN-FIRE LOG CO., INC. 401K PLAN
|
2020
|
371017325
|
2021-02-17
|
CLEAN-FIRE LOG CO., INC.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
321900
|
Sponsor’s telephone number |
6184952941
|
Plan sponsor’s
address |
124 WEST FOURTH STREET, PO BOX 407, HOFFMAN, IL, 62250
|
Plan administrator’s name and address
Administrator’s EIN |
371017325 |
Plan administrator’s name |
CLEAN-FIRE LOG CO., INC. |
Plan administrator’s
address |
124 WEST FOURTH SREET, PO BOX 407, HOFFMAN, IL, 622501002 |
Administrator’s telephone number |
6184952941 |
Signature of
Role |
Plan administrator |
Date |
2021-02-17 |
Name of individual signing |
CAROL LAXTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLEAN-FIRE LOG CO., INC. 401K PLAN
|
2020
|
371017325
|
2021-06-16
|
CLEAN-FIRE LOG CO., INC.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
321900
|
Sponsor’s telephone number |
6184952941
|
Plan sponsor’s
address |
124 WEST FOURTH STREET, PO BOX 407, HOFFMAN, IL, 62250
|
Plan administrator’s name and address
Administrator’s EIN |
371017325 |
Plan administrator’s name |
CLEAN-FIRE LOG CO., INC. |
Plan administrator’s
address |
124 WEST FOURTH SREET, PO BOX 407, HOFFMAN, IL, 622501002 |
Administrator’s telephone number |
6184952941 |
Signature of
Role |
Plan administrator |
Date |
2021-06-16 |
Name of individual signing |
CAROL LAXTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
C-F FABRICATORS HEALTH PLAN 2019
|
2019
|
371017325
|
2020-01-30
|
CLEAN FIRE LOG CO INC
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2019-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
6184952941
|
Plan
sponsor’s DBA name |
C-F FABRICATORS
|
Plan sponsor’s mailing address |
PO BOX 407, HOFFMAN, IL, 622500407
|
Plan sponsor’s
address |
124 WEST FOURTH STREET, HOFFMAN, IL, 62250
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-01-30 |
Name of individual signing |
CAROL LAXTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-01-30 |
Name of individual signing |
CAROL LAXTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLEAN-FIRE LOG CO., INC. 401K PLAN
|
2019
|
371017325
|
2020-03-02
|
CLEAN-FIRE LOG CO., INC.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
321900
|
Sponsor’s telephone number |
6184952941
|
Plan sponsor’s
address |
124 WEST FOURTH STREET, PO BOX 407, HOFFMAN, IL, 62250
|
Plan administrator’s name and address
Administrator’s EIN |
371017325 |
Plan administrator’s name |
CLEAN-FIRE LOG CO., INC. |
Plan administrator’s
address |
124 WEST FOURTH SREET, PO BOX 407, HOFFMAN, IL, 622501002 |
Administrator’s telephone number |
6184952941 |
Signature of
Role |
Plan administrator |
Date |
2020-03-02 |
Name of individual signing |
CAROL LAXTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
C-F FABRICATORS HEALTH PLAN 2018
|
2018
|
371017325
|
2019-02-21
|
CLEAN FIRE LOG CO INC
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2018-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
6184952941
|
Plan
sponsor’s DBA name |
C-F FABRICATORS INC.
|
Plan sponsor’s mailing address |
PO BOX 407, HOFFMAN, IL, 622500407
|
Plan sponsor’s
address |
124 WEST FOURTH STREET, HOFFMAN, IL, 62250
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-02-21 |
Name of individual signing |
CAROL LAXTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-02-21 |
Name of individual signing |
CAROL LAXTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLEAN-FIRE LOG CO., INC. 401K PLAN
|
2018
|
371017325
|
2019-03-05
|
CLEAN-FIRE LOG CO., INC.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
321900
|
Sponsor’s telephone number |
6184952941
|
Plan sponsor’s
address |
124 WEST FOURTH STREET, PO BOX 407, HOFFMAN, IL, 62250
|
Plan administrator’s name and address
Administrator’s EIN |
371017325 |
Plan administrator’s name |
CLEAN-FIRE LOG CO., INC. |
Plan administrator’s
address |
124 WEST FOURTH SREET, PO BOX 407, HOFFMAN, IL, 622501002 |
Administrator’s telephone number |
6184952941 |
Signature of
Role |
Plan administrator |
Date |
2019-03-05 |
Name of individual signing |
CAROL LAXTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
C-F FABRICATORS HEALTH PLAN 2017
|
2017
|
371017325
|
2018-01-22
|
CLEAN FIRE LOG CO INC
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2017-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
6184952941
|
Plan
sponsor’s DBA name |
CF FABRICATORS
|
Plan sponsor’s mailing address |
124 WEST FOURTH STREET, PO BOX 407, HOFFMAN, IL, 622500407
|
Plan sponsor’s
address |
124 WEST FOURTH STREET, PO BOX 407, HOFFMAN, IL, 622500407
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-01-22 |
Name of individual signing |
CAROL LAXTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-01-22 |
Name of individual signing |
CAROL LAXTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLEAN-FIRE LOG CO., INC. 401K PLAN
|
2017
|
371017325
|
2018-02-05
|
CLEAN-FIRE LOG CO., INC.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
321900
|
Sponsor’s telephone number |
6184952941
|
Plan sponsor’s
address |
124 WEST FOURTH STREET, PO BOX 407, HOFFMAN, IL, 62250
|
Plan administrator’s name and address
Administrator’s EIN |
371017325 |
Plan administrator’s name |
CLEAN-FIRE LOG CO., INC. |
Plan administrator’s
address |
124 WEST FOURTH SREET, PO BOX 407, HOFFMAN, IL, 622501002 |
Administrator’s telephone number |
6184952941 |
Signature of
Role |
Plan administrator |
Date |
2018-02-05 |
Name of individual signing |
CAROL LAXTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
C-F FABRICATORS HEALTH PLAN 2016
|
2016
|
371017325
|
2017-01-23
|
CLEAN FIRE LOG CO INC
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2016-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
6184952941
|
Plan
sponsor’s DBA name |
C-F FABRICATORS, INC
|
Plan sponsor’s mailing address |
124 WEST FOURTH STREET, PO BOX 407, HOFFMAN, IL, 622500407
|
Plan sponsor’s
address |
124 WEST FOURTH STREET, PO BOX 407, HOFFMAN, IL, 622500407
|
Number of participants as of the end of the plan year
Active participants |
18 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2017-01-23 |
Name of individual signing |
CAROL LAXTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-01-23 |
Name of individual signing |
CAROL LAXTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|